The U.S. health care system is in crisis: implications for academic medical centers and their missions
| Autor: | Jay Perman, Richard Lofgren, Michael Karpf, Courtney M. Higdon |
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| Rok vydání: | 2006 |
| Předmět: |
HRHIS
Academic Medical Centers Cost Control business.industry General Medicine Business process reengineering Health Care Costs Public relations United States Education Patient safety Incentive Ambulatory care Nursing Health care Insurance Health Reimbursement Medicine Managed care Humans business Delivery of Health Care Curative care |
| Zdroj: | Academic medicine : journal of the Association of American Medical Colleges. 81(8) |
| ISSN: | 1040-2446 |
| Popis: | The medical care system in the United States is in crisis. Health care costs are escalating and threatening coverage for millions of people. Concerns about the quality of care and patient safety are heightening; patients and payers now publicly share these concerns and want to make providers more accountable. Traditionally, the response to rising health care costs has been to modify reimbursement models and incentives. Currently there is a movement to shift the responsibility of cost containment to the patients. The authors express doubts about the overall effectiveness of this strategy and propose reengineering the health care system to improve quality and efficiency. Leaders of academic medical centers must understand the forces and dynamics of change, and the potential institutional response to improve the quality and efficiency of their delivery systems and to preserve their missions: clinical care, education, research, and community service. As they suggest the operational changes needed to respond to this evolving health care environment, the authors discuss the implications for the various missions. The graduates of training programs must be prepared to function within multidisciplinary teams and constantly seek ways to improve quality and efficiency to ensure that care is accessible, affordable, and safe. Academic medical centers need to expand their research agenda to develop more expertise in quality and process improvement research. Additionally, they must provide the leadership to foster the transition from an era of "managed care" to an era of "organized systems of care." |
| Databáze: | OpenAIRE |
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